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{
"id" : "clin_t_merkel_cell_penis_10043",
"algorithm" : "tnm",
"version" : "2.0",
"name" : "Clin T Merkel Cell Penis",
"title" : "Clinical T",
"notes" : "**Note 1:** In the case of multiple simultaneous tumors, code the tumor with the greatest extension.\n\n**Note 2:** Skin ulceration does not alter the T category.\n\n**Note 3:** Satellite nodules/In-transit metastasis are coded in regional lymph nodes.\n\n**Note 4:** Tumor size must be known to assign a value of T1, T2 or T3. You may use a physician’s statement of the T category if this is the only information in the medical record.\n* If the tumor appears to be in the T1, T2 or T3 categories, but no size or category is specified, assign TX\n\n**Note 5:** For the following descriptions, assign the appropriate T category (T1, T2 or T3) based on the tumor size.\n\n Lesion(s) confined to dermis\n Invasive tumor limited to skin of penis, prepuce (foreskin), and/or glans\n Invasive tumor limited to subepithelial connective tissue but not involving corpus spongiosum or corpus cavernosum\n Subcutaneous tissue (through entire dermis)\n\n Corpus cavernosum\n Corpus spongiosum\n Tunica albuginea\n\n Localized, NOS",
"last_modified" : "2018-05-14T21:29:02.684Z",
"definition" : [ {
"key" : "clin_t",
"name" : "Clinical T",
"type" : "INPUT"
}, {
"key" : "clin_t_display",
"name" : "Clinical T Display",
"type" : "DESCRIPTION"
}, {
"key" : "description",
"name" : "Description",
"type" : "DESCRIPTION"
}, {
"key" : "notes",
"name" : "Registrar Notes",
"type" : "DESCRIPTION"
} ],
"rows" : [ [ "cX", "cTX", "Primary tumor cannot be assessed", "Clinical classification criteria met, evaluation done: \n Physician unable to assess T\n Extension cannot be determined \n Tumor size (TS) unknown for T categories where TS needed to determine T\nPhysician assigns cTX, no other information available to determine T" ], [ "c0", "cT0", "No evidence of primary tumor", "" ], [ "pIS", "pTis", "Carcinoma in situ", "Intraepidermal, intraepithelial, noninvasive\n\nStated as Tis" ], [ "c1", "cT1", "Tumor 2 cm or less in greatest dimension", "Stated as T1" ], [ "c2", "cT2", "Tumor more than 2 cm but not more than 5 cm in greatest\ndimension", "Stated as T2" ], [ "c3", "cT3", "Tumor more than 5 cm in greatest dimension", "Stated as T3" ], [ "c4", "cT4", "Tumor invades deep extradermal structures, \ni.e., cartilage, skeletal muscle, fascia, or bone", "Prostate\nUrethra\n\nAdjacent structures:\n Fascia\n Muscle, NOS:\n Bulbospongiosus\n Ischiocavernosus\n Superficial transverse perineal\n Skin:\n Abdomen\n Perineum\n Pubic region\n Scrotum\n\nUnderlying bone and cartilage\n\nFurther contiguous extension:\n Testis\n\nStated as T4" ], [ "88", "88", "Not applicable", "Death certificate only (DCO) case" ], [ "", "BLANK", "See Registrar Notes", "Clinical classification criteria not met \nClinical classification criteria met, evaluation done:\n No information about diagnostic workup\n Results not documented in record\nClinical evaluation of primary tumor not done or unknown if done\nTumor first detected on surgical resection (no clinical workup)\nEvidence of metastatic disease [(cM1) or (pM1)], no other workup\nOnly Clinical Stage Group documented (no T, N, or M information available)" ] ]
}